Bravantech Innovations LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BRAVANTECH INNOVATIONS LLC

Practice address

2847 S Ingram Mill Rd Ste A100
Springfield, MO 65804-4006

Phone

(214) 705-2301

NPI assigned

Nov 13, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ani Petrosyan

Title

Ceo

Phone

(747) 474-6670

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1043034374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2847 S INGRAM MILL RD STE A100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044006",
            "telephone_number": "747-474-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2847 S INGRAM MILL RD STE A100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044006",
            "telephone_number": "214-705-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVANTECH INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "ANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-474-6670",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Casey Brant, CRNA
• Kyle Brashear, RD/LD
• Megan Danielle Brattin, APRN
• Edward L. Braud, M.D.
• Steven D Braun, MD
• Melody Brave, LCSW
• Daniel Allen Bravin, MD
• Lindsey Nicole Bravin, M.D.
• Marlana Marie Bray
• Tyler Bray

• Durable Medical Equipment & Medical Supplies in Springfield, MO
• Providers in Springfield, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.